Provider Demographics
NPI:1740829498
Name:MASSANET RIVERO, YARY (APRN)
Entity type:Individual
Prefix:
First Name:YARY
Middle Name:
Last Name:MASSANET RIVERO
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:14690 SPRING HILL DR STE 305
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-8102
Mailing Address - Country:US
Mailing Address - Phone:352-277-5348
Mailing Address - Fax:352-606-2857
Practice Address - Street 1:210 SEBRING SQ
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:FL
Practice Address - Zip Code:33870-1622
Practice Address - Country:US
Practice Address - Phone:863-658-5060
Practice Address - Fax:863-304-8792
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-29
Last Update Date:2023-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11005647363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty